• 제목/요약/키워드: Improvement on Geriatric Nursing

검색결과 19건 처리시간 0.022초

노인건강문제와 간호의 방향 (Geriatric Health Problems and Directions for Nursing Improvements)

  • 김희자
    • 지역사회간호학회지
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    • 제9권1호
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    • pp.89-103
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    • 1998
  • The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.

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Evaluation of End-of-Life Nursing Education Consortium-Geriatric Train-the-Trainer Program in Korea

  • Kim, Boon-Han;Kim, Hyun-Sook;Yu, Su-Jeong;Choi, Sung-Eun;Jung, Yun;Kwon, So-Hi
    • 성인간호학회지
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    • 제24권4호
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    • pp.390-397
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    • 2012
  • Background: Few nurses are trained in palliative care for long-term care in Korea. The End-of-Life Nursing Education Consortium (ELNEC)-Geriatric training program improves nurses' ability to promote palliative care for the elderly. Purpose: The aim of this study was to evaluate nurses' satisfaction and knowledge following the attendance at the ELNEC-Geriatric curriculum on nurses' knowledge of palliative care. Methods: Nine ELNEC-Geriatric modules were presented to 203 interdisciplinary professionals on July 1 and 3, 2010, in Seoul, South Korea. The Palliative care quiz for nursing (PCQN) was used to evaluate nurses' knowledge. Of all the participants, 128 nurses were completed the questionnaire. Of these nurses, 45.2% were staff nurses and 73.4% were hospital nurses. Results: Approximately eight nine percent of the nurses reported previous experience in caring for dying patients and attending various hospice palliative care training programs. Overall program satisfaction of the participants was 4.03 on a 5-point scale, and their mean of the total PCQN score was 12.75 out of 20 after participating in ELNEC-Geriatric course, which was a significant improvement (p=.022) from the pretest. Conclusion: The results of this study demonstrate that ELNEC-Geriatric curriculum was successfully implemented and significantly contributed to increasing the nurses' knowledge for palliative care in long-term care in Korea.

노인에 대한 간호대학생의 태도조사 연구 (A Study on Nursing Students의 Attitudes toward the Elderly)

  • 김은일
    • 대한간호학회지
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    • 제12권1호
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    • pp.1-12
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    • 1982
  • Presently, there is increasing demand for geriatric nursing care due to increasing proportion of elderly population and extended age. And, of particular importance in deforming the effectiveness of nursing care given to the elderly is the attitude of nursing personnel toward the elderly patient. This study was intendent to investigate the attitudes of baccalaureate nursing students toward the elderly, and to investigate any possible correlation between these attitudes and the following variables: the students' levels (freshman, sophomore, junior, senior), their preferences for var-ious fields of specialization in nursing after graduation, their clinical experiences with geriatric-patients, their personal experience with elderly family members, their educational experience of the elderly's health problems and geriatric nursing, and their experience with relatives and acquaintances over 60 years of age. Therefore, the purpose of this study was to compile basic data about the attitudes of nursing students toward the elderly in order to contribute to the improvement of geriatric nursing. The subjects for this study were 259 nursing students: 163 in the College of Nursing at E-womans University., and 96 in the Department of Nursing in K. College. Data was collected from the 11th of Sep., to the 8th of Oct., 1981, using the Tuckman-Lorge Attitude Questionnaire which contained 131 items excepting 6 items. The attitudes toward the elderly was scored by the use of mean and standard deviation. The relations between attitudes toward the elderly and six independent vairables were analysed by T-test. The results which were obtained are as follows : 1. The attitude score of nursing students was M=71.67 S.D= 16.18. Nursing students agreed with 54.8% of the stereotypic statements, and they had stereotypic attitudes toward the elderly relatively. (P<0.01). 2. There was a significant difference between the attitudes of nursing students toward the elderly, and sophomores had a less stereotypic attitudes than juniors and seniors (P<0.01). 3. There was significant difference between the attitudes toward the elderly and the preferences for various fields of specialization in nursing after graduation, and nursing students those who wanted maternity fields had a more stereotypic attitudes than others (P<0.05, p<0.01). 4. There was no significant difference between the attitudes toward the elderly and the clinical experience with the geriatric patients (P>0.05). 5. There was no significant difference between the attitude3 toward the elderly and the personal experience with elderly family members (F>0.05). 6. There was no significant difference between the attitudes toward the elderly and the educational experience of the elderly's health problems and geriatric nursing (P>0.05). 7. There was no significant difference between the attitudes toward the elderly and the experience with relatives and acquaintances over 60 years of age (P>0.05).

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요양병원 간호사 및 간호조무사의 낙상예방활동 실천의 방해요인 (Barriers to the practice of fall prevention by nurses and nurse assistants at geriatric hospitals)

  • 박윤희
    • 한국노년학
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    • 제40권2호
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    • pp.311-323
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    • 2020
  • 노인은 낙상의 위험이 높고, 낙상은 심각한 손상을 유발함으로써 재원기간과 치료비용을 상승시켜 환자 가족뿐만 아니라 국가 경제에도 부담을 초래한다. 따라서 낙상 예방 활동은 간호사와 간호조무사 업무의 중요한 부분을 차지한다. 본 연구는 요양병원에서 근무하는 간호사와 간호조무사가 직면하는 낙상 예방 활동의 방해요인에 관한 사실적 맥락을 파악하기 위해 수행되었다. 36명의 요양병원 간호사 및 간호조무사를 대상으로 초점면담을 실시하였으며, Elo & Kyngäs의 귀납적 내용분석 방법에 의거하여 면담자료를 분석하였다. 환자 요인, 환경 요인, 개인 요인의 총 3개의 카테고리가 도출되었으며, 환자 요인에는 '저하된 인지 기능'이, 환경 요인에는 '인력지원의 부족'과 '낙상 위험을 고려하지 않은 입원환자 배정'이 개인 요인에는 '무력감'과 '비난에 대한 불안' 등이 포함되었다. 환자의 건강결과를 향상시키고 사회적 비용을 줄여나가기 위해 낙상 예방 활동을 증진하기 위해서는 요양병원의 간호 인력을 점차적으로 늘리고, 낙상위험에 따른 병실 배정 체계 마련, 간호 인력의 교육 및 지원 시스템을 보완할 필요성이 있다.

노인간호 교육이 간호대학생의 치매에 대한 지식 및 태도, 치매정책 인식에 미치는 효과 (The Effects of Geriatric Nursing Education for Nursing Students' Attitude, Perception toward Dementia and Dementia Policy)

  • 박수진;박경숙;김영지
    • 한국산학기술학회논문지
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    • 제16권7호
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    • pp.4467-4477
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    • 2015
  • 본 본 연구는 노인간호 교육이 간호대학생의 치매에 대한 지식 및 태도, 치매정책 인식에 미치는 효과를 파악하기 위한 비동등성 대조군 사전, 사후 설계의 유사 실험 연구이다. K시, J시 소재 간호대학 2학년에 재학 중인 간호대학생 172명을 대상자로 선정하여 교육군에게 56시간 노인간호 교육을 실시하였다. SPSS Win 20.0를 이용하여 평균, 백분율, t-test, ${\chi}^2$으로 분석하였다. 그 결과 교육군에서 평균 27.10점으로 치매에 대한 지식이 더 높았으며, 통계적으로 유의한 차이가 있었다(t=7.500, p=.000). 치매에 대한 태도에서도 교육군의 평균이 4.10점으로 치매노인에 대한 태도가 더 긍정적이었으며, 통계적으로 유의한 차이가 있었다(t=1.423, p=.000). 치매정책 인식에서는 교육군에서 인식이 더 긍정적으로 개선되었으나 통계적으로 유의하지 않았다(t=1.70, p=.090). 이를 통해 노인간호 교육이 간호대학생의 치매에 대한 지식을 향상시키고 태도를 긍정적으로 변화시키는데 효과가 있음을 알 수 있었다. 따라서 이론과 실습을 병행한 노인간호 교육과정 개발이 필요하며, 이를 위한 기초자료를 제공하고자 본 연구를 시도하였다.

회상을 활용한 집단미술치료가 노인성질환 입원환자의 우울에 미치는 효과 (An Effect of Group Art Therapy by Way of Reminiscence on the Depression of the Elderly Inpatients with Geriatric Illness)

  • 김효정;최선남
    • 가정과삶의질연구
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    • 제28권1호
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    • pp.99-118
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    • 2010
  • This thesis is to inquire into the effect of group art therapy by way of reminiscence on the depression of the elderly inpatients with geriatric illness. The subjects are 20 inpatients whose age is over sixty in the Elderly Nursing Hospital located in K county. Among them, 10 inpatients are arranged as the experimental group, and the rest 10 inpatients, as control group. The research period is from February 28, 2009 to August 21, 2009. For the experimental group, the group art therapy by way of reminiscence is carried out during 21 sessions once a week for 60 minutes per session. For both the experimental group and the control group, pre and post test is carried out, and then after four weeks, the further test is carried out. The measurement tools are KGDS(Korean Form of Geriatric Depression Scale) and KHTP. The data are analyzed by SPSS(for Windows) and SAS(ver. 9.1.2), by which one-way ANOVA, two-way ANOVA, and Scheffe test are carried out. The results are as follows. First, the average of the whole elderly depression levels is shown significantly in the post test and the further test between the two groups. The art therapy group is more effective on the reduction of depression of the elderly inpatients with geriatric illness than control group. Second, it is shown that there is significant difference between the two groups in the the elderly depression by KHTP. The art therapy group is more effective in the improvement of the reduction of the elderly depression in view of KHTP. In conclusion, the group art therapy is an efficient intervention which enables to reduce the depression of the elderly inpatients with geriatric illness.

노인병원과 종합병원의 선택요인 및 환자만족도 분석 (A study for the factors on choosing hospitals and patients satisfaction between Geriatric Hospitals and General Hospitals)

  • 윤서중;유승흠;김영훈;이지전
    • 한국병원경영학회지
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    • 제9권2호
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    • pp.46-75
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    • 2004
  • This research anticipated on acknowledging the inpatients factors in choosing which hospital for the geriatric hospital and general hospital they would prefer to go to the analization of different factors in patients satisfaction, and the relation between satisfactory standards and the patients intentions on recommendation or re-visiting the hospital. The statistical data was based upon the 359 question and answer papers that were done by inpatients that were hospitalized in two geriatric hospitals and two general hospitals, and the methods used for analyzing were frequency, t-test, factor analysis, and hierarchical multiple regression. The results are as follows. 1. The factors on choosing hospitals between geriatric hospital and general hospitals were different. The priority for the geriatrics was kindness, and then considerate nursing, and the reliance of treatment. The patients of general hospitals looked first for reliance of treatment, reputation and history of the hospital, and the kindness of the staff. The kindness of the staff, good nursing, and easy procedures were the primary factors of choosing geriatric hospital. 2. The four primary factors in choosing which hospital patients would go to were the predominance of the facilities, kindness and convenience, the reliance and proximity of medical treatment, and recommendation. The patients in the geriatric hospital first looked for kindness and convenience, second the reliance and proximity of medical treatment, third predominance of facilities, and last recommendation. The general hospitals main priority was the reliance and proximity of medical care, second predominance of facilities, kindness and hospitality, and last recommendation. 3. The satisfaction rate was higher in the geriatric hospital compared to general hospitals, but the satisfactory of factors were very similar. Patients in the geriatric hospital were pleased with the hospital staffs kindness, quick nursing and the improvement of inconvenient matters, and clear diagnosis of the doctors. The general hospital patients were satisfied with the hospital staffs clear explanation and accurate diagnosis 4. The analysis in the satisfactory factors turned out to be the environment of the hospital, kindness of the staff, and convenience. Both the patients of the geriatric hospital and general hospitals were very pleased with the kindness of the hospital staff. Ranking second and third was convenience and service for the geriatric hospital, and environment of the hospital and convenience for the general hospital. 5. According to a rank of multiple recurrent analysis of the patients satisfaction and the intention of re-visiting in addition to intention of solicitation, in the case of a geriatric hospital, when the intention of re-visiting is the dependent variable, the first stage shows that the less insurance the patient has, the higher was the intention of re-visiting. In the second stage, the more satisfied the patient is of the staffs kindness, the higher was the intention of re-visiting. Further more, when the intention of solicitation is the dependent variable, the first stage shows that not all the independent variables were significant, but the second stage shows that the more satisfied the patient is of the staffs kindness and the hospital along with the medical treatment expenses, the higher was the intention of solicitation. 6. In the first stage of a rank of multiple recurrent analysis of the satisfaction of the general hospital and the intention of re-visiting, not all the variables were significant, but in the second stage, all the satisfaction by factors were significant. Moreover, when the intention of solicitation was the dependent variable, the first stage shows not all the variables were significant, but in the second stage, all the satisfaction by factors were significant. That is to say, in the case of a general hospital, the satisfaction of the hospital and the medical treatment expenses were high, and the more satisfied the patient is of the hospitals environment and the staffs kindness, the intention of re-visiting and the intention of solicitation was higher.

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개인회상요법이 노인의 우울, 사기 및 삶의 질에 미치는 영향 (Effects of Individual Reminiscence Therapy on Older Adults' Depression, Morale and Quality of Life)

  • 김귀분;윤지현;석소현
    • 대한간호학회지
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    • 제36권5호
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    • pp.813-820
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    • 2006
  • Purpose: This study examined the effects of individual reminiscence therapy on older adults' depression, morale, and the quality of life. Methods: The design was a single-group pre-test and post-test study. Subjects consisted of 31 older adults from two senior centers and a welfare center in Seoul. Individual reminiscence therapy was applied to study subjects four times, once a week for an hour at each time. Measurement tools were the Geriatric Depression Scale Short Form Korea (GDSSF-K) for depression, Mun Ae-ri's (1996) scale for morale, and Medical Outcomes Study Short Form 36 (SF-36) for the quality of life. Data was analyzed using descriptive statistics, paired t-test, and pearson correlation. Results: The application of individual reminiscence therapy reduced older adults' depression (t=-5.65, p=.000), and enhanced older adults' morale (t=4.65, p=.000). The application of individual reminiscence therapy improved older adults' quality of life (t=5.00, p=.000). Conclusion: Findings of the study suggest that individual reminiscence therapy may be applied as a nursing intervention that contributesto the improvement of older adults' quality of life, reduces their depression, and enhances their morale.

마사지가 요양병원 입원노인의 우울과 자아존중감, 생기에 미치는 효과 (Effects of Hand Massage on Depression, Self-esteem and Vitality of the Elderly Patients in Convalescent Hospital)

  • 김혜정;이강이
    • 한국간호교육학회지
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    • 제22권2호
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    • pp.202-209
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of hand massage on depression, self-esteem and vitality in elderly patients in convalescent hospitals. Methods: This study employed a nonequivalent control group pretest-posttest design. The subjects were 24 elderly patients in the experimental group and 25 in a control group in a convalescent hospital located in G city. Data were collected using a questionnaire that relied on the geriatric depression scale (short form) by Sheikh and Yesavage; the self-esteem scale by Rosenberg; and the vitality scale used by Johnson and revised by Oh. The experimental group were treated with a general hand massage using only carrier oil on both hands for 10 minutes a day for seven days. The control group was given no treatment. The collected data were analyzed using t-test, $x^2$-test, and Fisher's exact test with SPSS Win Version 18.0. Results: The results are as follows: The experimental group showed a significant improvement in depression, self-esteem and vitality than the control group. Conclusion: The results showed that hand massage was an effective intervention program for depression, self-esteem and vitality of elderly patients in convalescent hospitals.

Cox의 상호작용이론을 근거로 한 원예활동 프로그램이 경증치매노인의 일상생활수행능력 및 우울에 미치는 효과 (The Effects of a Horticultural Program based on Cox's Interaction Model on Ability for Daily Life and Depression in Older Patients with Mild Dementia)

  • 윤미진;성경미
    • 재활간호학회지
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    • 제20권1호
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    • pp.12-21
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    • 2017
  • Purpose: This study attempts to examine the effects of a horticultural program on activities of daily living (ADL) and depression among older patients with mild dementia. Methods: This study adopted a quasi-experimental design-based nonequivalent control group pretest and posttest design, enrolling 30 older patients with mild dementia. The Korean Form of Geriatric Depression Scale was utilized, while the data was collected from the experimental group for 60 minutes, twice weekly for 6 weeks in 12 sessions. ADL and depression were assessed for both the experimental and the control group. Overall functions were assessed only for the experimental group. Results: The experimental group showed improvement in physical function, cognitive function, as well as psychological, emotional function and social function following each session (p<.001). The horticulture program was effective in both ADL ($Z^2=5.65$, p<.001) and depression (t=-5.24, p<.001). Conclusion: In this study, the horticultural therapy based on the Cox's interaction model had positive effects for older patients with mild dementia. Therefore, horticultural therapy may be commendably applied to older patients with mild dementia as a nursing intervention.